WASHINGTON—Senator Romney today questioned top health officials at a HELP Committee hearing on the coronavirus. His line of questioning focused on preparedness and response, including the need to boost our strategic national stockpile of protective equipment and the production capacity for a vaccine.
Senator Romney: I appreciate the work that’s been done by the public health community in our country to delay the arrival of the COVID-19 in the United States. It’s really quite remarkable to me that while other countries have seen so many cases, whether it’s Italy, or Iran, South Korea, Japan, that we’ve been able to delay it. Clearly you can’t keep it away forever, and we already have the community transmission which you predicted. I want to turn to another issue however, which is whether we as Congress and Administrations—Republican and Democrat—have done enough to prepare protective equipment for our medical professionals and for our public at large. I won’t point at anybody—this isn’t you, this is us responsible for funding—which is given the fact that our medical professionals need masks, gowns, gloves, and so forth—what percent of what would be needed by medical professionals, if we were to have a full-blown pandemic, and I hope we don’t, but if we were to have one—what percentage of what we would need for our medical professionals is in the strategic national stockpile?
Dr. Robert Kadlec: Sir, I can give you a rough order of magnitude. It depends what kind of, like you said a severe pandemic, ten percent of what we need right now. If it were to be a severe event, we would need 3.5 billion N95 respirators. We have about 35 million.
Romney: So about ten percent?
Dr. Kadlec: Ten percent, and we are working actively on that.
Romney: That’s an area where I’ve been most concerned that it strikes me that we should have substantially more than ten percent that what would be needed for a substantial pandemic we should have that in stock. I can’t believe that we Congress, I’m not blaming the Administration, this is Congress in appropriating and it’s prior Administrations as well, that should be in place. Do masks help for the general public? Let’s say we have a major pandemic and people are concerned, they’re going to the grocery store, they know other people there might be infected. Do masks actually help? Do they prevent or reduce the likelihood of being exposed to the disease Dr. Fauci?
Dr. Anthony Fauci: It depends on the mask. If you look at the N95 mask, they’re much better than those sort of floppy masks. In general, right now, I think the question you’re asking…
Romney: I’m really asking, if we were to have a major outbreak of some kind…
Dr. Fauci: The most important thing for a mask would be if someone is infected to prevent them from infecting others. The other is the health care provider, to protect them. The general public who could wear them, that could certainly prevent gross droplets from going when someone sneezes and coughs on you. But it doesn’t provide the kind of protection that people think it does. So therefore, there are some downsides because people keep fussing with the masks …
Romney: So better than nothing. Do we have masks in our strategic national stockpile for the general public? We do not, OK.
Romney: Let me ask another question. Which is, let’s say we do get a vaccine it tests positively and so forth, and goes through phase one and phase two clinical trials. What does it take to get major production done? How long does it take to actually kick the production up, and how long goes that take, and who does that? Who is doing the manufacturing once we know this is a vaccine that works?
Dr. Fauci: That’s a really good question Senator. And that was one of the things that was discussed yesterday when the President and Vice President brought in the CEOs of a number of companies and that’s really important because when I was talking about a year to a year and a half, if you don’t have the production capacity to make tens and tens of millions of doses, it may take even longer. And the ones who can do that essentially are the pharmaceutical companies. The federal government is not going to be able to make hundreds of millions of doses, it’s going to have to be partnership with the private sector.
Romney: Do we have that capacity in the United States, is this capacity outside the US? And I guess the question I’m looking for is whether legislatively or from an appropriations standpoint, we should provide funding to have the capacity to make large number of vaccines? We should have that capacity in the US and have it ready to go in case—if this isn’t the pandemic that we’re worried about, if another one comes down the road—is this something that we should have ready to go?
Dr. Kadlec: Yes sir and in fact, right now the only capacity we have is really egg production which wouldn’t be relevant to the vaccine candidate or the candidates that we at BARDA are pursuing. So we would have a longer than a six-month wait to basically produce vaccines on scale.
Romney: I want to underscore that that is an area we ought to consider making an investment in.